Objective: To report the successful and feasible use of transperineal fine needle aspiration of seminal vesicles (FNASV) for sperm retrieval in obstructive azoospermia.
Design: Case report.
Setting: Outpatient care in institutional clinic.
Patient(s): A 31-year-old man with obstructive azoospermia due to a middle prostatic müllerian cyst.
Intervention(s): Transperineal FNASV using a coaxial 17-gauge TruGuide needle.
Main outcome measure(s): Feasibility of sperm retrieval suitable for future in vitro fertilization.
Result(s): Transperineal FNASV made it possible to aspirate 11 mL of fluid with a sperm count of 100 million/mL and 15% motility. This sample was cryopreserved for in vitro fertilization using intracytoplasmic sperm injection.
Conclusion(s): Transperineal FNASV using a coaxial needle may be a further method for sperm retrieval to add to the repertoire of assisted reproduction technologies.